2019 Michigan Withholding Tax Schedule

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Schedule W

Michigan Department of Treasury (Rev. 04-19), Page 1

2019 MICHIGAN Withholding Tax Schedule

Issued under authority of Public Act 281 of 1967, as amended.

Attachment 13

Type or print in blue or black ink.

INSTRUCTIONS: If you had Michigan income tax withheld in 2019, you must complete a Withholding Tax Schedule (Schedule W) to claim the

withholding on your Individual Income Tax Return (MI-1040, line 29). Report military pay in Table 1 and military retirement benefits and taxable

railroad retirement benefits (both Tier 1 and Tier 2) in Table 2 even if no Michigan tax was withheld. Include your completed Schedule W with Form

MI-1040. See complete instructions on page 2 of this form. If you need additional space, include another Schedule W.

1. Filer¡¯s First Name

M.I.

Last Name

2. Filer¡¯s Full Social Security No. (Example: 123-45-6789)

If a Joint Return, Spouse¡¯s First Name

M.I.

Last Name

3. Spouse¡¯s Full Social Security No. (Example: 123-45-6789)

TABLE 1: MICHIGAN TAX WITHHELD OR MILITARY PAY REPORTED ON W-2, W-2G or CORRECTED W-2 FORMS

A

B

C

D

E

Enter ¡°X¡± for:

Filer or Spouse

Employer¡¯s identification number

(Example: 38-1234567)

Box c ¡ª Employer¡¯s name

Box 1 ¡ª Wages, tips,

other compensation

Box 17 ¡ª Michigan

income tax withheld

00

00

00

00

00

00

00

00

00

00

Enter Table 1 Subtotal from additional Schedule W forms (if applicable).......................................................

00

4. SUBTOTAL. Enter total of Table 1, column E. ............................................................................... 4.

00

TABLE 2: MICHIGAN TAX WITHHELD OR MILITARY RETIREMENT BENEFITS AND RAILROAD RETIREMENT

BENEFITS (BOTH TIER 1 AND TIER 2) REPORTED ON 1099 FORMS

A

B

C

D

E

Enter ¡°X¡± for:

Filer or Spouse

Payer¡¯s federal identification

number (Example: 38-1234567)

Payer¡¯s name

Taxable pension distribution,

misc. income, etc. (see inst.)

Michigan income

tax withheld

00

00

00

00

00

00

00

00

00

00

Enter Table 2 Subtotal from additional Schedule W forms (if applicable).......................................................

00

5. SUBTOTAL. Enter total of Table 2, column E. ............................................................................... 5.

00

6. TOTAL. Add lines 4 and 5. Enter here and carry to MI-1040, line 29............................................. 6.

00

+ 0000

2019 57 01 27 2

2019 Schedule W, Page 2

Instructions for Schedule W

Withholding Tax Schedule

Schedule W is designed to report State of Michigan income

tax withholding. Schedule W enables us to process your

individual income tax return more efficiently.

Include the completed Schedule W with your return. An

attachment number is listed in the upper right corner to help

you assemble your forms in the correct order behind your

Individual Income Tax Return (MI-1040).

If a Schedule W is not included when required, the

processing of your return will be delayed. Do not submit

W-2 and/or 1099 forms with your return.

If you are filing an amended return because you received

a corrected W-2 you must complete a Schedule W. Keep

copies of your W-2s with your tax records for six years

and have them available if requested by the Department of

Treasury.

Michigan Residents. If you paid income tax to a

governmental unit outside of Michigan, see instructions for

MI-1040, line 18.

+ 0000

2019 57 02 27 0

Completing the Withholding Tables

Lines not listed are explained on the form.

Complete the withholding tables using information from

your W-2 and 1099 forms, and any other documents that

report Michigan tax withheld. If you need additional space,

include another Schedule W.

Table 1 Column D: Enter wages, tips, and other

compensation from W-2 forms from which Michigan tax was

withheld. Exception: Enter military pay even if no Michigan

tax was withheld.

Table 2 Column D: Enter unemployment compensation,

taxable pension from your federal return, and any other

taxable income from any 1099 forms from which Michigan

tax was withheld. Exception: Enter military retirement

benefits and railroad retirement benefits (both Tier 1 and

Tier 2) from 1099-R, RRB-1099 and/or RRB-1099-R forms,

even if no Michigan tax was withheld.

Line 6: Total. Enter total of line 4 from Table 1 and line 5

from Table 2. Carry the total to Form MI-1040, line 29.

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